1 00:00:00,040 --> 00:00:01,960 Speaker 1: We've got new data out this morning that shows there's 2 00:00:01,960 --> 00:00:04,800 Speaker 1: a mess. I think we already know this in our ED. 3 00:00:05,160 --> 00:00:07,360 Speaker 1: So what happens is occasionally in your ED you'll get 4 00:00:07,400 --> 00:00:11,760 Speaker 1: at voucher and the use of vouchers and that allows 5 00:00:11,760 --> 00:00:13,840 Speaker 1: you to go to an after ours clinic and the 6 00:00:13,880 --> 00:00:17,000 Speaker 1: voucher covers costs of up to two hundred dollars. Now, 7 00:00:17,000 --> 00:00:20,360 Speaker 1: the number of vouchers issued at why Tackery Hospital, for example, alone, 8 00:00:20,440 --> 00:00:23,600 Speaker 1: just y Tackery Hospital in Aucklands, RI is nearly sixty percent. 9 00:00:23,640 --> 00:00:23,720 Speaker 2: Now. 10 00:00:23,800 --> 00:00:25,560 Speaker 1: Luke Bradford is the Royal New Zealand College of a 11 00:00:25,560 --> 00:00:27,800 Speaker 1: GP's medical director. And here is well, this looked very 12 00:00:27,840 --> 00:00:31,400 Speaker 1: good morning to you morning, Mike. Are numbers kept on this? 13 00:00:31,800 --> 00:00:34,159 Speaker 1: Would all hospitals? Have you know we handed our X 14 00:00:34,240 --> 00:00:36,760 Speaker 1: number of vouchers for X number of dollars or not? 15 00:00:37,640 --> 00:00:39,600 Speaker 2: Yeah? They should do. They should do those who are 16 00:00:39,680 --> 00:00:42,040 Speaker 2: running the schemes with no okay? 17 00:00:42,120 --> 00:00:44,200 Speaker 1: And so do we have any idea whether y Attacker 18 00:00:44,280 --> 00:00:46,400 Speaker 1: is an outlier at sixty percent? Orere everyone's handing these 19 00:00:46,400 --> 00:00:47,480 Speaker 1: things out left, right and center. 20 00:00:48,640 --> 00:00:51,720 Speaker 2: I think the sixty percent increases is probably fairly typical 21 00:00:52,240 --> 00:00:55,000 Speaker 2: for a couple of reasons. I think probably the total 22 00:00:55,080 --> 00:00:57,280 Speaker 2: volumes quite high at White tach recompared to a lot 23 00:00:57,320 --> 00:00:58,640 Speaker 2: of other places in the country. 24 00:00:58,840 --> 00:01:01,680 Speaker 1: Okay, the discipline and are we having an understanding? Are 25 00:01:01,720 --> 00:01:04,720 Speaker 1: they handed out with alacrity or do they go, look, 26 00:01:04,840 --> 00:01:07,959 Speaker 1: this is a desperate time that here is a voucher. 27 00:01:09,280 --> 00:01:12,120 Speaker 2: Certainly the experiences I've had from the hospital's ideal within 28 00:01:12,760 --> 00:01:16,280 Speaker 2: they have plenty and rotor they're handed out more when 29 00:01:16,319 --> 00:01:18,840 Speaker 2: things are desperate. In fact, probably a little bit underused. 30 00:01:19,120 --> 00:01:22,440 Speaker 2: So when the weights get up to a long level 31 00:01:22,520 --> 00:01:25,120 Speaker 2: and people are going to have to sit there for hours. 32 00:01:24,840 --> 00:01:27,800 Speaker 1: So people are cognitive that there's money involved in this 33 00:01:27,880 --> 00:01:29,679 Speaker 1: and we just can't hand out the sort of money left, 34 00:01:29,720 --> 00:01:30,280 Speaker 1: right and center. 35 00:01:31,600 --> 00:01:33,880 Speaker 2: I think that was the initial case. I think now 36 00:01:33,959 --> 00:01:37,520 Speaker 2: that the pressure is on for six hour target, that's 37 00:01:37,560 --> 00:01:41,480 Speaker 2: probably where we're seeing some of the shift. And so 38 00:01:41,520 --> 00:01:43,520 Speaker 2: we know that that one of the five targets is 39 00:01:43,560 --> 00:01:46,040 Speaker 2: that you're in and out ved within six hours. So 40 00:01:46,120 --> 00:01:49,960 Speaker 2: that Sevelle used the vouchers and actually they in that 41 00:01:50,000 --> 00:01:53,480 Speaker 2: whole economics and they use it. It's probably cheaper to give 42 00:01:53,520 --> 00:01:55,400 Speaker 2: out a one hundred and fifty dollars voucher or two 43 00:01:55,440 --> 00:01:57,720 Speaker 2: hundred dollars. Voulcher given them the average GD costs for 44 00:01:57,800 --> 00:01:59,120 Speaker 2: a visitors eight hundred. 45 00:02:00,640 --> 00:02:02,840 Speaker 1: And if we got to the bottom of this, when 46 00:02:02,840 --> 00:02:05,480 Speaker 1: you're handing out vouchers and the cure is long, is 47 00:02:05,520 --> 00:02:07,600 Speaker 1: the Q long because there are people dying who in 48 00:02:07,640 --> 00:02:09,840 Speaker 1: desperate need of help, or some people have got a 49 00:02:09,840 --> 00:02:12,160 Speaker 1: few sore things that they thought might pop in and 50 00:02:12,240 --> 00:02:12,799 Speaker 1: have a look at. 51 00:02:13,919 --> 00:02:15,959 Speaker 2: Yeah, it completely varies on the day. So if the 52 00:02:16,040 --> 00:02:18,280 Speaker 2: medical teams are all involved with people who are really sick, 53 00:02:18,760 --> 00:02:21,280 Speaker 2: then everyone else is waiting. But a lot of people 54 00:02:21,280 --> 00:02:23,720 Speaker 2: do end up in d when perhaps they wouldn't need 55 00:02:23,760 --> 00:02:25,520 Speaker 2: to be there, it wouldn't be the optimum place, but 56 00:02:25,960 --> 00:02:28,400 Speaker 2: when it's expensive to be seen in the community, often 57 00:02:28,480 --> 00:02:29,160 Speaker 2: choose that option. 58 00:02:29,440 --> 00:02:33,040 Speaker 1: So it's a miss, like a big, fat, ugly miss. 59 00:02:33,440 --> 00:02:37,720 Speaker 2: Ah. No, I think it's probably a reasonable way of 60 00:02:37,760 --> 00:02:41,040 Speaker 2: trying to help the flow of things learning what we 61 00:02:41,120 --> 00:02:44,000 Speaker 2: have is a recession and increased health need and probably 62 00:02:44,080 --> 00:02:47,720 Speaker 2: under resource dds and so this is a solution that's 63 00:02:48,120 --> 00:02:48,880 Speaker 2: been thought up. 64 00:02:49,120 --> 00:02:51,480 Speaker 1: Yeah, I appreciate it very much. Luke Bradford, who's the 65 00:02:51,520 --> 00:02:55,400 Speaker 1: Royal New Zealand College of General Practitioners EDS, I can 66 00:02:55,440 --> 00:02:59,320 Speaker 1: tell you a few stories about eds though I can't, 67 00:02:59,440 --> 00:03:01,760 Speaker 1: but I'd like to. But maybe one day I will, 68 00:03:01,760 --> 00:03:03,800 Speaker 1: maybe on my second to last day, I will because 69 00:03:03,800 --> 00:03:06,560 Speaker 1: we've had experience at the public hospital lately, and I 70 00:03:06,600 --> 00:03:09,200 Speaker 1: can tell you it is a shit show in there. 71 00:03:09,720 --> 00:03:12,640 Speaker 2: For more from The Mike Asking Breakfast, listen live to 72 00:03:12,720 --> 00:03:15,800 Speaker 2: news talks. It'd be from six am weekdays, or follow 73 00:03:15,840 --> 00:03:17,440 Speaker 2: the podcast on iHeartRadio.